Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.57 / $3,832.00 / $8,920.00	Facility		$199.57	$3,832.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.66 / $266.68 / $410.19	Professional		$175.66	$266.68	$410.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $210.26 / $347.62	Professional		$164.42	$210.26	$347.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.93 / $155.93 / $794.00	Professional		$155.93	$155.93	$794.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.51 / $302.51 / $302.51	Facility		$302.51	$302.51	$302.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $280.19 / $492.23	Professional		$184.20	$280.19	$492.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.88 / $355.73 / $420.41	Professional		$274.88	$355.73	$420.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.62 / $302.76 / $479.29	Facility		$195.62	$302.76	$479.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $375.00 / $496.00	Professional		$323.00	$375.00	$496.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $226.11 / $805.00	Facility		$166.52	$226.11	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $241.48 / $342.20 / $819.00	Professional		$241.48	$342.20	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.45 / $324.97 / $547.76	Professional		$204.45	$324.97	$547.76